NURS 615 EXAM 3 (2026/2027) QUESTIONS AND
CORRECT ANSWERS GRADED A+ MARYVILLE
What are the contraindications for NSAIDs
Hypertension, history of ulcers, Crohns Disease, GI bleeding, liver or kidney
disease, heart disease, bleeding or platelet disorders, pregnancy
What are the drug interactions with NSAIDs
Antihypertensives, warfarin, digoxin
What is the FIRST symptom of salicylate toxicity?
Hyperventilation due to respiratory alkalosis
What are symptoms of salicylate toxicity?
Hyperventilation, nausea/vomiting, diaphoresis, tinnitus
What is the black box warning on NSAIDs
All non-aspirin NSAIDs can increase the risk of heart attack and stroke
,What are the contraindications for acetaminophen?
Alcohol abuse, liver or kidney disease, malnutrition
What are the signs and symptoms with acetaminophen toxicity?
Liver damage/failure. Abdominal pain, Nausea vomiting, dark urine, jaundice
What is the relationship of opioid agonists with affinity and efficacy
Full agonists have affinity PLUS efficacy
What are example drugs of full opioid agonists
Morphine, codeine, methadone, hydromorphone
What is the relationship of affinity and efficacy of partial opioid agonists?
Affinity but LOW efficacy
What are the example drugs of partial opioid agonists?
Buprenorphine, tramadol
What is the first line of treatment for acute mild musculoskeletal pain?
, Start with Tylenol, NSAIDs, or muscle relaxants.
What are some non-pharmacological recommendations for treating acute mild
musculoskeletal pain?
Exercise programs, physical therapy, acupuncture, massage, chiropractic treatment,
and biofeedback.
What are the adverse effects of NSAIDs
gastric upset/ulceration
acute renal failure
bleeding (due to working on coagulation cascade system)
What is the relationship of affinity and efficacy for opioid antagonists?
Affinity but NO efficacy
What is the example drug of an opioid antagonists?
Naloxone (Narcan)
What is allopurinol used for?
first-line agent for lowering urate levels with gout
CORRECT ANSWERS GRADED A+ MARYVILLE
What are the contraindications for NSAIDs
Hypertension, history of ulcers, Crohns Disease, GI bleeding, liver or kidney
disease, heart disease, bleeding or platelet disorders, pregnancy
What are the drug interactions with NSAIDs
Antihypertensives, warfarin, digoxin
What is the FIRST symptom of salicylate toxicity?
Hyperventilation due to respiratory alkalosis
What are symptoms of salicylate toxicity?
Hyperventilation, nausea/vomiting, diaphoresis, tinnitus
What is the black box warning on NSAIDs
All non-aspirin NSAIDs can increase the risk of heart attack and stroke
,What are the contraindications for acetaminophen?
Alcohol abuse, liver or kidney disease, malnutrition
What are the signs and symptoms with acetaminophen toxicity?
Liver damage/failure. Abdominal pain, Nausea vomiting, dark urine, jaundice
What is the relationship of opioid agonists with affinity and efficacy
Full agonists have affinity PLUS efficacy
What are example drugs of full opioid agonists
Morphine, codeine, methadone, hydromorphone
What is the relationship of affinity and efficacy of partial opioid agonists?
Affinity but LOW efficacy
What are the example drugs of partial opioid agonists?
Buprenorphine, tramadol
What is the first line of treatment for acute mild musculoskeletal pain?
, Start with Tylenol, NSAIDs, or muscle relaxants.
What are some non-pharmacological recommendations for treating acute mild
musculoskeletal pain?
Exercise programs, physical therapy, acupuncture, massage, chiropractic treatment,
and biofeedback.
What are the adverse effects of NSAIDs
gastric upset/ulceration
acute renal failure
bleeding (due to working on coagulation cascade system)
What is the relationship of affinity and efficacy for opioid antagonists?
Affinity but NO efficacy
What is the example drug of an opioid antagonists?
Naloxone (Narcan)
What is allopurinol used for?
first-line agent for lowering urate levels with gout
